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Rural Health
Resources by Topic: Long-term care

MedPAC Report to the Congress: Medicare Payment Policy, 2016
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report. Focuses on payment adequacy, Medicare Advantage, and Medicare Part D.
Date: 03/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Long-Term Care Providers and Services Users in the United States: Data From the National Study of Long-Term Care Providers, 2013-2014
Presents the results from the National Study of Long-Term Care Providers (NSLTCP). Features information on the supply, staffing, and services offered by paid, regulated providers of long-term care services, and demographics on the users of these services. Includes statistics showing the distribution of providers among metropolitan, micropolitan, and non-metropolitan areas by type of service: adult day services, home health, hospice, nursing home, and residential care community.
Author(s): Lauren Harris-Kojetin, Manisha Sengupta, Eunice Park-Lee, et al.
Date: 02/2016
Type: Document
Sponsoring organization: National Center for Health Statistics
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Adults Using Long Term Services and Supports: Population and Service Use Trends in Maine, State Fiscal Year 2014
A chartbook discussing demographic trends regarding disability, poverty, housing, work status, and other useful characteristics about adults and elders living in Maine who have used nursing facilities, residential care, or home and community-based services during the fiscal year 2014. Provides some county-level data and discussion of rural differences.
Author(s): Kimberly I. Snow, Tina Gressani, Louise Olsen, et al.
Date: 2016
Type: Document
Sponsoring organization: Catherine Cutler Institute
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Oral Health Services and Barriers to Care in North Dakota Long Term Care Facilities: Chartbook
Presents the findings of a survey of long term care (LTC) facility staff working in rural and urban North Dakota LTC facilities. Examines current oral health practices and any barriers regarding the provision of oral healthcare to LTC facility residents.
Author(s): Shawnda Schroeder, Patrick Bright
Date: 2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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LTSS Research: Annotated Literature Review: Elder Abuse in Indian Country
Presents an annotated bibliography of resources pertaining to elder abuse in American Indian communities.
Date: 05/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Improving Access to Noninstitutional Long-Term Care for American Indian Veterans
Describes program models to expand Native American veterans' access to home-based primary care (HBPC), which provides non-institutional long-term care to homebound veterans. Overviews emerging models of HBPC and co-management developed by Veterans Affairs Medical Centers in collaboration with tribes and Indian Health Service facilities. Also includes several models that expanded HBPC access for non-native as well as Native American rural veterans.
Author(s): Betty J. Kramer, Beth Creekmur, Sarah Cote, Debra Saliba
Citation: Journal of the American Geriatrics Society, 63(4), 789-796
Date: 04/2015
Type: Document
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The Need to Reform Medicare's Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural location.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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Nurse Staffing Levels and Quality of Care in Rural Nursing Homes
Examines the relationship between nurse staffing levels (registered nurse, licensed practical nurse, and certified nurse aide hours per resident per day) and the quality of care in rural nursing homes. Includes data for hospital-based facilities and freestanding nursing homes.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 01/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Housing an Aging Rural America: Rural Seniors and Their Homes
Discusses housing options to help rural seniors age in place. Topics covered include assisted living, home modification, transportation, and other supportive services. Also addresses housing quality and affordability.
Date: 10/2014
Type: Document
Sponsoring organization: Housing Assistance Council
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Observation Care Services for Medicare Beneficiaries in Rural Hospitals: Policy Issues and Stakeholder Perspectives
Seeks to provide a greater understanding of rural-specific issues surrounding hospital outpatient observation status and the related implications for rural hospitals, skilled nursing facilities (SNFs), and Medicare beneficiaries. Results are based on a multi-state, qualitative analysis of input from three respondent groups: state hospital associations, long-term care ombudsman offices, and Quality Improvement Organizations (QIOs). Analysis focuses on the use of observation status by Medicare beneficiaries from 2010-2013.
Author(s): Walter Gregg, Samantha Mills, Yvonne Jonk
Date: 10/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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